Characterizing the accuracy and reliability of consumer health wearables for cardiovascular and autonomic monitoring in chronic illness: a narrative synthesis Restricted; Files Only

Abstract

The post-acute sequelae of SARS-CoV-2 (PASC) present a significant challenge in healthcare post-pandemic with cardiovascular and autonomic symptoms being among the most commonly reported. Consumer health wearables offer a promising solution for remote monitoring and management of these symptoms, particularly in real life, outside of clinic settings. However, the accuracy and reliability of these wearables remain uncertain which hinders widespread adoption and clinical integration.

 

This narrative synthesis presents findings from a systematic umbrella review aimed at characterizing the accuracy, reliability, acceptability, and clinical utility of consumer health wearables for cardiovascular biomarker monitoring in the context of PASC. A comprehensive literature search was conducted, resulting in the inclusion of 12 articles in the narrative synthesis.

 

The study reported variations in levels of accuracy and reliability among different wearable brands and models. Apple Watch emerged as a top-performing device, demonstrating reliable heart rate measurement, heart rate variability, and atrial fibrillation (AF) detection. Fitbit devices showed medium to good accuracy, while wristwatches from various brands such as Garmin, Polar, and so on demonstrated promising results for heart rate measurement. Huawei and Samsung devices exhibited high sensitivity and specificity rates for AF detection.

 

These findings highlight the potential of consumer health wearables in remote monitoring of cardiovascular health in patients with PASC but also emphasize the need for standardized validation methods and regulatory oversight.

 

In conclusion, this narrative synthesis contributes to our understanding of the accuracy and reliability of consumer health wearables in cardiovascular monitoring, providing valuable insights for healthcare providers, researchers, consumers, and policymakers.

Table of Contents

 

Table of Contents

Introduction………..………………………………………………………….………………..1

Methods………..…………………………………………………………………………….…5

Results………..……………………………………………………………………………………………10

                                                 Part 1: Heart Rate Measurement……………………11

                                                 Part 2: Heart Rate Variability………………………14

                                                Part 3: Atrial Fibrillation Detection…………………15

Discussion……………..……………………………………………………………………………..17

Bibliography………..……………………………………………………………………………….21

About this Honors Thesis

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School	Emory College
Department	Biology
Degree	B.S.
Submission	Honors Thesis
Language	English
Research Field	Health Sciences, General Biology, General
Stichwort	Consumer health wearables
Committee Chair / Thesis Advisor	Dr. Deanna Kaplan, Emory University
Committee Members	Dr. Roman Palitsky, Emory University Dr. Dieter Jaeger, Emory University

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